Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09692 | Date 09/06/2021 |
| Token No | SM/21-22/2054 09/06/2021 | Serial | 019 Last Visit: 22/03/2023 |
| Patient Name | Mrs. JULEKHA BIBI | Contact No | 8967796009 |
| Address | 7/D ARABINDU SARANI SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||